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South Dakota rates for HCPCS 22862

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Lmbr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,144.25 / $2,144.25 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.13 / $2,144.25 / $5,547.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.49 / $4,836.64 / $6,045.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,614.62 / $3,544.67 / $4,786.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.17 / $4,312.64 / $16,414.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,188.48 / $4,478.64 / $7,169.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,042.00 / $4,230.22 / $6,210.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,375.98 / $3,528.35 / $4,583.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,571.00 / $6,571.00 / $6,571.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.17 / $3,853.32 / $5,976.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,546.80 / $5,563.10 / $5,563.10